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Home My WebLink AboutFLI-09-2016-076551.TIF I 7" „� Application for Temporary Food Establishment Permit (To be completed for each booth) $75.00 Fee Applies Please make check payable to Catawba County Environmental Health /8 41 sm Mail to Catawba County Environmental Health, PO Box 389,Newton,NC 28658 jL,/ 765S Establishment Name i\l 0a,Roi;m0._ `�� Operator Name N t -A c, _0(6. 930 TB Mailing Address • _ b' ' Q 'l_ Qf Telephone (day #) �4%-4(-40 ' c)-7 0 I (after hours) ( Q,) Location of evene NA- 1- , Name of Event/Festival/Carnival; etc. y�l y 0P-e-l &Rs Dates & Times of Operation ;R 1 aA — O �-, l '}( R )6-9 / D6)1 Please Indicate Setup Completion Time e ki 3 61 )Q, p ft\ Signature of applicant: --17Qj M -nu: Attac ,menu or list all ood items to be prepa ed or served. All foods sold at this Temporary Food Establishment must be prepared and cooked at the permitted site except foods prepared in another establishment permitted under 15A NCAC 18A .2602. Food Prepared and Cooked On-Site In the table below, check the procedures for each food which will performed on site in the Temporary Food Establishment. bA bA Foods .� .6 O c u U U x a i2ECEIVED SEP072016 CATAWBA COUNTY • / . ENVIRONMENTAL HEALTH Foods Prepared and Cooked Offsite: Name of Permitted Establishment: Ned S 00"RO/,‘AK. i80 NC DENR Establishment ID# Establishment Owner/Manager ► Y 2 J A Establishment Address (06 '), (,rJ - )•; )dc4400d) AK. Establishment telephone # , �3 C 11 g a 4 In the table below list all foods prepared in the permitted establishment and check all procedures performed there. a- Foods - - 0 ct cci < O O 0 �: •amour ,. List sources of all meat, poultry, seafood and shellfish: State method of storing and disposing of wastewater: q—)-0<j) Temporary Food Establishment Draw to scale, identifying and describing all equipment, including handwash facilities, equipment, washing facilities,cooking equipment, refrigeration,worktables,storage, hot and cold holding units, water source and storage. Describe the floor,wall and ceiling surfaces of the unit \i) ft' d • i NED'S CAROLINA BBQ COMPANY 602 HWY. 70 WEST, HILDEBRAN, NC 28637 828-397-2034 PREPARING FOODS IN ADVANCE: A. Foods are cooked in our restaurant, (Carolina BBQ Co. 602 Hwy 70 West, Hildebran, NC 28637) in Ole Hickory commercial smoker. Meats (pulled pork, brisket, ribs) are cooled then frozen. Foods are transported to event in our trailer inside walk in refrigerator. Trailer has power in transit by generator. B. All foods are warmed in Southern Pride commercial smoker. Then hot food is held in Southern Pride smoker or warming cabinet. We also use Cambro for short term holding. Cold foods are kept in walk in refrigerator. FESTIVAL ON-SITE : A. All equipment is kept clean by our staff. We use fans for fly control. Also we have screens when necessary. B. We clean and sanitize all equipment before and after each use. Also regularly during event. C. We have instant hot water (140 degrees) from propane hot water heater mounted on trailer. We connect to events water supply using white hose with pack flow prevention. We have 3 part stainless sink with a separate hand wash sink. Gray water is stored in tank under trailer. D. When available we rent a private Porta John. E. Garbage goes into our garbage cans and removed as needed each day of the festival. F. All of our employees understand and have signed the Employee Health Policy as required by the NC Food Code 2-201. We have several employees who have completed the ServeSafe Certification and they will be onsite during the festival. PURCHASING FOODS TO BE SOLD: We purchase all of our products from Performance Foods, Hickory, NC and from Reinhardt Foods, Johnson City, Tn. Performance & Reinhardt deliver to our restaurant on a weekly basis. MENU OF FOODS SERVED AT FESTIVALS: Includes Beef Brisket, Pork BBQ, Ribs, Chopped Chicken, Hot Dogs, Smoked Sausages, Baked Beans, Cole Slaw & buns — BEEF BRISKET: Purchased from Performance Foods or Reinhardt. Cooked on commercial smoker in our restaurant. Cooled, frozen, transported to event in refrigerator on trailer. Heated up on commercial smoker, held in smoker or warming cabinet. We only heat up as much as needed for the day. No cooling at the end of day. PULLED PORK: Purchased from Performance Foods or Reinhardt. Cooked on commercial smoker in our restaurant. Cooled, frozen, transported to event in refrigerator on trailer. Heated up on commercial smoker, held in smoker or warming cabinet. We only heat up as much as needed for the day. No cooling at the end of day. PORK RIBS: Purchased from Performance Foods or Reinhardt. Cooked on commercial smoker in our restaurant. Cooled, frozen, transported to event in refrigerator on trailer. Heated up on commercial smoker, held in smoker or warming cabinet. We only heat up as much as needed for the day. No cooling at the end of day. CHOPPED CHICKEN: Purchased from Performance Foods precooked from Hormel, transported to event in refrigerator on trailer. Heated up on commercial smoker, held in smoker or warming cabinet. We only heat up as much as needed for the day. No cooling at the end of day. HOT DOGS & SMOKED SAUSAGES: Purchased from Sam's Club in Hickory, precooked, and transported to event in refrigerator on trailer. Heated up on commercial smoker, held in smoker or warming cabinet. No cooling at end of day. BAKED BEANS: Purchased from Performance Foods in cans (Bush's). Heated up on commercial smoker, held in smoker or warming cabinet. We only heat up as much as needed for the day. No cooling at the end of day COLE SLAW: Made fresh in our restaurant. Transported to event in our refrigerator. BREAD: Brought to the Festival and purchased from our supplier (Flowers Bakery) or purchased at local supplier if needed. EQUIPMENT LAYOUT ATTACHED: N f W Z O U k4� "u 5sf Y N LOA 6 SS333V Z CO,. ®C �? ■■ ® aN, 0 = 0""' °� C� s U', 0 C e� • 0 co 1 O O 2 c. 3 LLNA CC ` Z a oc W D Im" w Z W if:TX I=11=6 cc d o cc 0 m MiM w p he x r 0 CC 0 , 7. I-- 1 - M L. s (y v . s\\\\�• �ms s; `wi \\ \ \\ �\ a \ ,�. ,� c p Q N4,4,44040.07' • 'gam � E'a. b.. CATAWBA COUNTY �7' 1 � 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT �® PHONE: 828.465.8399 V �>�� Wednesday, September 7, 2016 /842 sM www.catawbacountync.gov PAYOR: Becks Best of Burke, Inc Becks Best of Burke,Inc PAYMENTS TRANSACTION NUMBER: TRC-821090-07-09-2016 PAYMENT DATE : 09/07/2016 PAYMENT TYPE: Check 2279 received by mail INVOICE NUMBER FEE NAME FEE AMOUNT 09-16-332403 Temporary Food Establishment $75.00 Fee TOTAL PAYMENTS : $75.00 FLI-09-2016-076551 CASE TYPE: Food& Lodging Institutions WORK CLASS: 73 -Temporary Food Establish' SITE ADDRESS: 1127 US 70 HWY,NEWTON NC 28658 Applicant NED'S CAROLINA BBQ COMPANY, 7366 MOBLEY LN,CONNELLY SPRINGS NC 28612 B:8283972034C:8284462781 Paid By BECKS BEST OF BURKE, INC, 7366 MOBLEY LN,CONNELLY SPRINGS NC 28612 **NO PEOPLESOFTACCOUNTASSIGNED ** receipt 09/07/2016 10:37 Page 1 of 1